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5,408 Results Found

  • Article
  • Open Access
29 Citations
5,606 Views
14 Pages

Machine Learning Predictive Model as Clinical Decision Support System in Orthodontic Treatment Planning

  • Jahnavi Prasad,
  • Dharma R. Mallikarjunaiah,
  • Akshai Shetty,
  • Narayan Gandedkar,
  • Amarnath B. Chikkamuniswamy and
  • Prashanth C. Shivashankar

20 December 2022

Diagnosis and treatment planning forms the crux of orthodontics, which orthodontists gain with years of expertise. Machine Learning (ML), having the ability to learn by pattern recognition, can gain this expertise in a very short duration, ensuring r...

  • Article
  • Open Access
7 Citations
5,783 Views
28 Pages

Clinical Decision Support System Based on Hybrid Knowledge Modeling: A Case Study of Chronic Kidney Disease-Mineral and Bone Disorder Treatment

  • Syed Imran Ali,
  • Su Woong Jung,
  • Hafiz Syed Muhammad Bilal,
  • Sang-Ho Lee,
  • Jamil Hussain,
  • Muhammad Afzal,
  • Maqbool Hussain,
  • Taqdir Ali,
  • Taechoong Chung and
  • Sungyoung Lee

Clinical decision support systems (CDSSs) represent the latest technological transformation in healthcare for assisting clinicians in complex decision-making. Several CDSSs are proposed to deal with a range of clinical tasks such as disease diagnosis...

  • Article
  • Open Access
35 Citations
13,270 Views
18 Pages

16 October 2015

The increasing attention paid to the environment has led to a reduction in the emissions from wastewater treatment plants (WWTPs). Moreover, the increasing interest in the greenhouse gas (GHG) emissions from WWTPs suggests that we reconsider the trad...

  • Article
  • Open Access
7 Citations
2,239 Views
13 Pages

An Optimal Decision Support System Based on Crop Dynamic Model for N-Fertilizer Treatment

  • Abhaya Pal Singh,
  • Amol Yerudkar,
  • Davide Liuzza,
  • Yang Liu and
  • Luigi Glielmo

8 October 2022

The efficient handling of nitrogen has become a critical issue in modern agriculture, from a financial standpoint, as well as in regard to reducing the environmental impacts of using an excessive amount of nitrogen fertilizer. Manure compost is usefu...

  • Article
  • Open Access
11 Citations
3,792 Views
20 Pages

7 September 2021

The decentralised wastewater treatment system (DEWATS) is an onsite sanitation technology that can be used in areas away from municipal sewerage networks. The discharge of effluent emanating from DEWATS into water bodies may cause pollution. Agricult...

  • Article
  • Open Access
1 Citations
2,494 Views
31 Pages

21 January 2025

Focal segmental glomerulosclerosis (FSGS) presents significant challenges in diagnosis, treatment, and management due to its complex etiology and clinical variability. Traditional approaches often rely on clinician judgment and are prone to inconsist...

  • Article
  • Open Access
24 Citations
6,913 Views
18 Pages

14 April 2021

Decision support systems (DSSs) are increasingly common in forest and wildfire planning and management in the United States. Recent policy direction and frameworks call for collaborative assessment of wildfire risk to inform fuels treatment prioritiz...

  • Article
  • Open Access
11 Citations
3,341 Views
16 Pages

Operationalizing Leadership and Clinician Buy-In to Implement Evidence-Based Tobacco Treatment Programs in Routine Oncology Care: A Mixed-Method Study of the U.S. Cancer Center Cessation Initiative

  • Sarah D. Hohl,
  • Jennifer E. Bird,
  • Claire V. T. Nguyen,
  • Heather D’Angelo,
  • Mara Minion,
  • Danielle Pauk,
  • Robert T. Adsit,
  • Michael Fiore,
  • Margaret B. Nolan and
  • Betsy Rolland

29 March 2022

Background: Delivering evidence-based tobacco dependence treatment in oncology settings improves smoking abstinence and cancer outcomes. Leadership engagement/buy-in is critical for implementation success, but few studies have defined buy-in or descr...

  • Article
  • Open Access
2 Citations
3,229 Views
16 Pages

An Institutional Febrile Neutropenia Protocol Improved the Antibacterial Treatment and Encouraged the Development of a Computerized Clinical Decision Support System

  • Zahit Taş,
  • Gökhan Metan,
  • Gülçin Telli Dizman,
  • Eren Yavuz,
  • Ömer Dizdar,
  • Yahya Büyükaşık,
  • Ömrüm Uzun and
  • Murat Akova

2 September 2024

We investigated the influence of a local guideline on the quality of febrile neutropenia (FN) management and the applicability of a computerized decision support system (CDSS) using real-life data. The study included 227 FN patients between April 201...

  • Review
  • Open Access
74 Citations
14,748 Views
15 Pages

Clinical Decision Support Systems in Breast Cancer: A Systematic Review

  • Claudia Mazo,
  • Cathriona Kearns,
  • Catherine Mooney and
  • William M. Gallagher

6 February 2020

Breast cancer is the most frequently diagnosed cancer in women, with more than 2.1 million new diagnoses worldwide every year. Personalised treatment is critical to optimising outcomes for patients with breast cancer. A major advance in medical pract...

  • Article
  • Open Access
8 Citations
12,158 Views
16 Pages

The selection of appropriate wound products for the treatment of pressure injuries is paramount in promoting wound healing. However, nurses find it difficult to decide on the most optimal wound product(s) due to limited live experiences in managing p...

  • Article
  • Open Access
3,203 Views
25 Pages

Teams, Tools, Processes and Resources to Manage Oncologic Clinical Decision Support: Lessons Learned from City of Hope’s Multistate, Academic, and Community Oncology Enterprise

  • Linda D. Bosserman,
  • YiHsuan Lin,
  • Sepideh Shayani,
  • Brian Moore,
  • Denise Morse,
  • Emmanuel Enwere,
  • Vijay Trisal and
  • Wafa Samara

17 March 2025

Background/Objectives: Clinical decision support systems (CDSSs) consisting of Computerized Physician Order Entry (CPOE) and oncology pathways serve as the foundation of high-quality cancer care. However, the resources needed to develop and maintain...

  • Article
  • Open Access
5 Citations
2,494 Views
11 Pages

Development of a New Hydrogel Anion Exchange Membrane for Swine Wastewater Treatment

  • Peter Babiak,
  • Geoff Schaffer-Harris,
  • Mami Kainuma,
  • Viacheslav Fedorovich and
  • Igor Goryanin

10 October 2022

We developed a proprietary anion exchange membrane (AEM) for wastewater treatment as an alternative to commercial products. Following the successful development of a hydrogel cation exchange membrane on a porous ceramic support, we used the same appr...

  • Article
  • Open Access
1 Citations
1,427 Views
22 Pages

9 May 2025

Electronic medical records (EMRs) are fundamental to clinical decision support systems (CDSS). Conventional EMR structures still fail to capture the cyclical nature of treatment plans, leading to fragmented data representation and reduced decision ac...

  • Article
  • Open Access
6 Citations
2,745 Views
11 Pages

8 August 2022

In the current paper, the classification of the equilibrium points of an HBV mathematical model with combined therapy is presented. The influence of right-hand side changes on solution behavior is estimated, and regulation with delays in upper- and l...

  • Article
  • Open Access
252 Views
16 Pages

Random Forest Model for Optimizing Coagulant Doses in Drinking Water Treatment: Application at the Miguel de la Cuba Ibarra Plant

  • Ronny Ivan Gonzales Medina,
  • Juan Adriel Carlos Mendoza,
  • Eduardo José Zuñiga Goyzueta,
  • Rosa María Morán-Silva and
  • Javier Linkolk López-Gonzales

Optimizing coagulant dosages in Drinking Water Treatment Plants (DWTPs) is critical for reducing operational costs, minimizing chemical waste, mitigating environmental impacts, and ensuring consistent water quality, particularly in resource-constrain...

  • Article
  • Open Access
18 Citations
1,911 Views
9 Pages

Intraobserver Variability in Bladder Cancer Treatment Response Assessment With and Without Computerized Decision Support

  • Lubomir M. Hadjiiski,
  • Kenny H. Cha,
  • Richard H. Cohan,
  • Heang-Ping Chan,
  • Elaine M. Caoili,
  • Matthew S. Davenport,
  • Ravi K. Samala,
  • Alon Z. Weizer,
  • Ajjai Alva and
  • Phillip L. Palmbos
  • + 7 authors

1 June 2020

We evaluated the intraobserver variability of physicians aided by a computerized decision-support system for treatment response assessment (CDSS-T) to identify patients who show complete response to neoadjuvant chemotherapy for bladder cancer, and th...

  • Article
  • Open Access
8 Citations
3,074 Views
23 Pages

The Optimization of Dispersion and Application Techniques for Nanocarbon-Doped Mixed Matrix Gas Separation Membranes

  • Ruben Hammerstein,
  • Tim Schubert,
  • Gerd Braun,
  • Tobias Wolf,
  • Stéphan Barbe,
  • Antje Quade,
  • Rüdiger Foest,
  • Dionysios S. Karousos and
  • Evangelos P. Favvas

13 January 2022

In this work, supported cellulose acetate (CA) mixed matrix membranes (MMMs) were prepared and studied concerning their gas separation behaviors. The dispersion of carbon nanotube fillers were studied as a factor of polymer and filler concentrations...

  • Article
  • Open Access
4 Citations
4,726 Views
14 Pages

Computerized Clinical Decision Support System for Prompting Brief Alcohol Interventions with Treatment Seeking Smokers: A Sex-Based Secondary Analysis of a Cluster Randomized Trial

  • Nadia Minian,
  • Anna Ivanova,
  • Sabrina Voci,
  • Scott Veldhuizen,
  • Laurie Zawertailo,
  • Dolly Baliunas,
  • Aliya Noormohamed,
  • Norman Giesbrecht and
  • Peter Selby

Although brief alcohol intervention can reduce alcohol use for both men and women, health care providers (HCPs) are less likely to discuss alcohol use or deliver brief intervention to women compared to men. This secondary analysis examined whether pr...

  • Article
  • Open Access
43 Citations
5,152 Views
14 Pages

Decision Support System to Implement Units of Alternative Biowaste Treatment for Producing Bioenergy and Boosting Local Bioeconomy

  • Christos Vlachokostas,
  • Charisios Achillas,
  • Ioannis Agnantiaris,
  • Alexandra V. Michailidou,
  • Christos Pallas,
  • Eleni Feleki and
  • Nicolas Moussiopoulos

6 May 2020

Lately, the model of circular economy has gained worldwide interest. Within its concept, waste is viewed as a beneficial resource that needs to be re-introduced in the supply chains, which also requires the use of raw materials, energy, and water to...

  • Article
  • Open Access
2 Citations
2,210 Views
14 Pages

Systemic Inflammation in Oncologic Patients Undergoing Systemic Treatment and Receiving Whey Protein-Based Nutritional Support

  • Aura D. Herrera-Martínez,
  • Ana Navas Romo,
  • Soraya León-Idougourram,
  • Concepción Muñoz-Jiménez,
  • Rosa Rodríguez-Alonso,
  • Gregorio Manzano García,
  • Marta Camacho-Cardenosa,
  • Antonio Casado-Diaz,
  • María Ángeles Gálvez-Moreno and
  • Aurora Jurado Roger
  • + 1 author

There is increasing evidence about the role of inflammation in sarcopenia and tumor progression; thus, its modulation would represent a valuable strategy for improving clinical outcomes in patients with cancer. Several studies have reported that whey...

  • Article
  • Open Access
1 Citations
2,103 Views
13 Pages

Biodefoamer-Supported Activated Sludge System for the Treatment of Poultry Slaughterhouse Wastewater

  • Cynthia Dlangamandla,
  • Seteno K. O. Ntwampe,
  • Moses Basitere,
  • Boredi S. Chidi and
  • Benjamin I. Okeleye

14 August 2023

Poultry slaughterhouse wastewater (PSW) is laden with fats, oil, and grease (FOG), as well as proteins. As such, PSW promotes the proliferation of filamentous organisms, which cause foam formation. In this study, the production of biological defoamer...

  • Article
  • Open Access
1,351 Views
22 Pages

19 October 2025

The development of clinical decision support systems for treatment planning and monitoring faces significant challenges, such as high labor intensity, integration complexities, lack of universality, and insufficient consideration of individual patien...

  • Article
  • Open Access
4 Citations
2,646 Views
14 Pages

16 November 2022

Sustainability has been a concern of survival for future long-term manned space missions. Therefore, the wastewater generated by the crew members, containing urine and hygiene wastewater, should be treated with appropriate biological processes to pro...

  • Article
  • Open Access
42 Citations
5,630 Views
19 Pages

IoMT with Deep CNN: AI-Based Intelligent Support System for Pandemic Diseases

  • Sujithra Thandapani,
  • Mohamed Iqbal Mahaboob,
  • Celestine Iwendi,
  • Durai Selvaraj,
  • Ankur Dumka,
  • Mamoon Rashid and
  • Senthilkumar Mohan

The Internet of Medical Things (IoMT) is an extended version of the Internet of Things (IoT). It mainly concentrates on the integration of medical things for servicing needy people who cannot get medical services easily, especially rural area people...

  • Article
  • Open Access
2 Citations
1,840 Views
16 Pages

26 May 2023

The phenomenon of surrounding rock damage and rupture caused by high temperatures is widespread, and has become a potential threat to the safety of nuclear waste disposal repositories. In order to reveal the energy distribution pattern of fractured g...

  • Perspective
  • Open Access
44 Citations
18,984 Views
25 Pages

Tinnitus Guidelines and Their Evidence Base

  • Berthold Langguth,
  • Tobias Kleinjung,
  • Winfried Schlee,
  • Sven Vanneste and
  • Dirk De Ridder

24 April 2023

Evidence-based medicine (EBM) is generally accepted as the gold standard for high-quality medicine and, thus, for managing patients with tinnitus. EBM integrates the best available scientific information with clinical experience and patient values to...

  • Article
  • Open Access
17 Citations
3,263 Views
17 Pages

11 June 2021

Wastewater treatment (WWT) is a foremost challenge for maintaining the health of ecosystems and human beings; the waste products of the water-treatment process can be a problem or an opportunity. The sewage sludge (SS) produced during sewage treatmen...

  • Article
  • Open Access
3 Citations
1,970 Views
11 Pages

Water is a limiting factor and to adopt the most appropriate agronomic strategy it is necessary to know the water status. The objective is (i) analysing of the influence of different agronomic treatments on canopy temperature in vineyards with a ther...

  • Article
  • Open Access
1,269 Views
23 Pages

23 September 2025

Conventional wildfire assessment products emphasize regional-scale ignition likelihood and potential spread derived from fuels and weather. While useful for broad planning, they do not directly support boundary-aware, scenario-specific decision-makin...

  • Article
  • Open Access
5 Citations
2,807 Views
28 Pages

Using Artificial Intelligence to Develop Clinical Decision Support Systems—The Evolving Road of Personalized Oncologic Therapy

  • Elena Chitoran,
  • Vlad Rotaru,
  • Aisa Gelal,
  • Sinziana-Octavia Ionescu,
  • Giuseppe Gullo,
  • Daniela-Cristina Stefan and
  • Laurentiu Simion

19 September 2025

Background/Objectives: The use of artificial intelligence (AI) in oncology has the potential to improve decision making, particularly in managing the risk associated with targeted therapies. This study aimed to develop and validate a machine learning...

  • Review
  • Open Access
33 Citations
7,728 Views
24 Pages

The Role of Artificial Intelligence on Tumor Boards: Perspectives from Surgeons, Medical Oncologists and Radiation Oncologists

  • Valerio Nardone,
  • Federica Marmorino,
  • Marco Maria Germani,
  • Natalia Cichowska-Cwalińska,
  • Vittorio Salvatore Menditti,
  • Paolo Gallo,
  • Vittorio Studiale,
  • Ada Taravella,
  • Matteo Landi and
  • Luigi Marano
  • + 9 authors

27 August 2024

The integration of multidisciplinary tumor boards (MTBs) is fundamental in delivering state-of-the-art cancer treatment, facilitating collaborative diagnosis and management by a diverse team of specialists. Despite the clear benefits in personalized...

  • Article
  • Open Access
53 Citations
6,762 Views
19 Pages

Positive Results of an Early Intervention Strategy to Suppress a Spruce Budworm Outbreak after Five Years of Trials

  • David A. MacLean,
  • Peter Amirault,
  • Luke Amos-Binks,
  • Drew Carleton,
  • Chris Hennigar,
  • Rob Johns and
  • Jacques Régnière

23 May 2019

Spruce budworm (Choristoneura fumiferana Clem.; SBW) outbreaks are one of the dominant natural disturbances in North America, having killed balsam fir (Abies balsamea (L.) Mill.) and spruce (Picea sp.) trees over tens of millions of hectares. Respons...

  • Article
  • Open Access
11 Citations
7,434 Views
14 Pages

A Biowaste Treatment Technology Assessment in Malawi

  • Wrixon Mpanang’ombe,
  • Elizabeth Tilley,
  • Imanol Zabaleta and
  • Christian Zurbrügg

27 November 2018

In the city of Blantyre, much of the generated municipal waste is biowaste, typically mixed with other waste fractions and disposed at the city’s dumpsite. Energy and nutrients could be recovered; however, with many biowaste options available,...

  • Article
  • Open Access
34 Citations
7,778 Views
16 Pages

28 April 2020

Sewage sludge management has gained significance in the last several years, due to its nutrient and energy content. However, technology selection is one of the greater challenges because it is not possible to implement a technology that covers all th...

  • Article
  • Open Access
15 Citations
4,896 Views
19 Pages

The present study develops an integrated methodology combining the results of the water-quality classification, according to the Water Framework Directive 2000/60/EC—WFD, with those of a mathematical integrity model. It is able to analyse the potenti...

  • Article
  • Open Access
43 Citations
17,898 Views
14 Pages

Real-World Impact of a Pharmacogenomics-Enriched Comprehensive Medication Management Program

  • Joseph P. Jarvis,
  • Arul Prakasam Peter,
  • Murray Keogh,
  • Vince Baldasare,
  • Gina M. Beanland,
  • Zachary T. Wilkerson,
  • Steven Kradel and
  • Jeffrey A. Shaman

8 March 2022

The availability of clinical decision support systems (CDSS) and other methods for personalizing medicine now allows evaluation of their real-world impact on healthcare delivery. For example, addressing issues associated with polypharmacy in older pa...

  • Proceeding Paper
  • Open Access
22 Views
12 Pages

Real-Time Pollutant Forecasting Using Edge–AI Fusion in Wastewater Treatment Facilities

  • Siva Shankar Ramasamy,
  • Vijayalakshmi Subramanian,
  • Leelambika Varadarajan and
  • Alwin Joseph

22 January 2026

Wastewater treatment is one of the major challenges in the reuse of water as a natural resource. Cleaning of water depends on analyzing and treating the water for the pollutants that have a significant impact on the quality of the water. Detecting an...

  • Review
  • Open Access
2,088 Views
10 Pages

The Presence of Serotonin in the Vestibular System: Supporting the Use of SSRIs/SNRIs in the Treatment of Vestibular Disorders—A Narrative Review

  • Roberto Teggi,
  • Daniela Caldirola,
  • Giampiero Neri,
  • Iacopo Cangiano,
  • Pasquale Viola and
  • Giuseppe Chiarella

Background: Serotonin (5-HT) is a neurotransmitter and a hormone that regulates various functions. Serotonin receptors have been studied in animal experiments in the vestibular system, beginning from the inner ear and vestibular nuclei. However, the...

  • Review
  • Open Access
2 Citations
2,695 Views
53 Pages

A Narrative Review on Breast Cancer Treatment Supported by Focused and Systemic Phytotherapy

  • Helena Machado,
  • Jorge Machado,
  • Christian Alves,
  • Maria-do-Céu Monteiro,
  • Agostinho Cruz,
  • Cláudia Pinho,
  • Cristina Soares,
  • Clara Grosso,
  • Jorge Magalhães Rodrigues and
  • Maria Begoña Criado

Cancer remains a persistent global health challenge, continuously driving the search for novel and effective therapeutic strategies. In the case of breast cancer, treatment decisions are primarily guided by factors such as the disease stage, histolog...

  • Review
  • Open Access
29 Citations
7,613 Views
25 Pages

The Role of Psychobiotics in Supporting the Treatment of Disturbances in the Functioning of the Nervous System—A Systematic Review

  • Krzysztof Skowron,
  • Anna Budzyńska,
  • Natalia Wiktorczyk-Kapischke,
  • Karolina Chomacka,
  • Katarzyna Grudlewska-Buda,
  • Monika Wilk,
  • Ewa Wałecka-Zacharska,
  • Małgorzata Andrzejewska and
  • Eugenia Gospodarek-Komkowska

Stress and anxiety are common phenomena that contribute to many nervous system dysfunctions. More and more research has been focusing on the importance of the gut–brain axis in the course and treatment of many diseases, including nervous system...

  • Systematic Review
  • Open Access
4 Citations
3,186 Views
21 Pages

Systemic Oncological Treatments versus Supportive Care for Patients with Advanced Hepatobiliary Cancers: An Overview of Systematic Reviews

  • Javier Bracchiglione,
  • Gerardo Rodríguez-Grijalva,
  • Carolina Requeijo,
  • Marilina Santero,
  • Josefina Salazar,
  • Karla Salas-Gama,
  • Adriana-Gabriela Meade,
  • Alba Antequera,
  • Ariadna Auladell-Rispau and
  • Xavier Bonfill Cosp
  • + 4 authors

26 January 2023

Background: The trade-off between systemic oncological treatments (SOTs) and UPSC in patients with primary advanced hepatobiliary cancers (HBCs) is not clear in terms of patient-centred outcomes beyond survival. This overview aims to assess the effec...

  • Article
  • Open Access
14 Citations
4,444 Views
29 Pages

The hierarchical medical treatment system is an efficient way to solve the problem of insufficient and unbalanced medical resources in China. Essentially, classifying the different degrees of diseases according to the doctor’s diagnosis is a ke...

  • Abstract
  • Open Access
2,049 Views
1 Page

Conventional medicine focuses mostly on the diagnosis and treatment of disease which is the acute localized problem in healthy body. On the other hand, chronic diseases are functional disorders in physiological processes. Therapeutic goal is not to t...

  • Article
  • Open Access
23 Citations
8,404 Views
18 Pages

28 April 2022

Big data in healthcare contain a huge amount of tacit knowledge that brings great value to healthcare activities such as diagnosis, decision support, and treatment. However, effectively exploring and exploiting knowledge on such big data sources expo...

  • Article
  • Open Access
7 Citations
1,726 Views
29 Pages

19 May 2023

The growth of colorectal cancer tumors and their reactions to chemo-immunotherapeutic treatment with monoclonal antibodies (mAb) are discussed in this paper using a system of fractional order differential equations (FDEs). mAb medications are still a...

  • Review
  • Open Access
65 Citations
18,516 Views
24 Pages

14 July 2022

The ‘Focal Infection Era in Dentistry’ in the late 19th and early 20th century resulted in widespread implementation of tooth extraction and limited the progress of endodontics. The theory proposed that bacteria and toxins entrapped in de...

  • Article
  • Open Access
2,539 Views
13 Pages

Access to support systems is crucial for providing immediate assistance and treatment to children to counteract the long-term detrimental effects of various forms of violence. This study examines how adversity such as victimization of violence and se...

  • Editorial
  • Open Access
1,753 Views
5 Pages

12 June 2022

Components of intensive care include resuscitation, cardiorespiratory stabilization, reversal of organ/system dysfunction or failure, treatment of the underlying pathology, weaning from external support of vital organs, and supportive interventions (...

  • Article
  • Open Access
23 Citations
6,430 Views
15 Pages

An AI-Powered Clinical Decision Support System to Predict Flares in Rheumatoid Arthritis: A Pilot Study

  • Hannah Labinsky,
  • Dubravka Ukalovic,
  • Fabian Hartmann,
  • Vanessa Runft,
  • André Wichmann,
  • Jan Jakubcik,
  • Kira Gambel,
  • Katharina Otani,
  • Harriet Morf and
  • Johannes Knitza
  • + 6 authors

Treat-to-target (T2T) is a main therapeutic strategy in rheumatology; however, patients and rheumatologists currently have little support in making the best treatment decision. Clinical decision support systems (CDSSs) could offer this support. The a...

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